Adapter, extension, and connector assemblies for surgical devices

ABSTRACT

An assembly including an adapter assembly and an extension assembly for connecting an end effector to an electrosurgical instrument is provided. The adapter assembly includes first and second pusher assemblies configured for converting rotational motion into linear motion and a drive member for transferring rotational motion. The extension assembly includes at least one flexible band assembly for transferring the linear motion from the adapter assembly and a trocar assembly configured for converting rotational motion into linear motion. Also provided is a connection assembly for connecting a first tubular member to a second tubular member.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application claims the benefit of and priority to U.S. ProvisionalPatent Application No. 62/066,518 filed Oct. 21, 2014, the entiredisclosure of which is incorporated by reference herein.

BACKGROUND

1. Technical Field

The present disclosure relates generally to powered surgical devices.More specifically, the present disclosure relates to adapter andextension assemblies for selectively connecting end effectors to theactuation units of the powered surgical devices.

2. Background of Related Art

Powered devices for use in surgical procedures are known. To permitreuse of the handle assemblies of these powered surgical devices and sothat the handle assembly may be used with a variety of end effectors,adapter assemblies and extension assemblies have been developed forselective attachment to the handle assemblies and to a variety of endeffectors. Following use, the adapter and/or extension assemblies may bedisposed of along with the end effector. In some instances, the adapterassemblies and extension assemblies may be sterilized for reuse.

SUMMARY

An assembly for operably connecting an end effector to anelectrosurgical instrument is provided. The assembly includes an adapterassembly and an extension assembly. The adapter assembly includes aconnector assembly, a drive transfer assembly operably received throughthe connector assembly and including first, second, and third rotatableshafts, a first pusher assembly operably connected to the firstrotatable shaft for converting rotational motion from the firstrotatable shaft to longitudinal movement to perform a first function, asecond pusher assembly operably connected to the second rotatable shaftfor converting rotational motion from the second rotatable shaft tolongitudinal movement to perform a second function, and a drive memberoperably connected to the third rotatable shaft for transferringrotational motion from the third rotatable shaft to perform a thirdfunction. The drive transfer assembly and the first and second pusherassemblies are operably received within a single outer tube. Theextension is operably connected to a distal end of the adapter assemblyand includes at least one flexible band assembly operably connected toone of the first and second pusher assemblies.

In embodiments, the first pusher assembly includes a first planetarygear assembly and the second pusher assembly includes a second planetarygear assembly. Each of the first and second planetary gear assembliesmay include a first planetary gear system and a second planetary gearsystem. Each of the first and second planetary gear systems may beconfigured to reduce a speed of rotation of the first and secondrotatable shafts. The first pusher assembly may include a first drivescrew operably connected to the first planetary gear assembly and thesecond pusher assembly may include a second drive screw operablyconnected to the second planetary gear assembly. The first pusherassembly may include a first pusher member operably received about thefirst drive screw and the second pusher assembly may include a secondpusher member operably received about the second screw member. Rotationof the first drive screw may cause longitudinal movement of the firstpusher member and rotation of the second drive screw may causelongitudinal movement of the second pusher member. The adapter assemblymay further include a base and a support structure rotatable relative tothe base along a longitudinal axis, the connector assembly and the drivetransfer assembly being disposed with in the base and the first andsecond pusher assemblies being disposed within the support structure.The connection assembly may be configured for operable connection to anelectrosurgical instrument.

In some embodiments, the extension assembly includes a second flexibleband assembly operably connected to the other of the first and secondpusher assemblies. The extension assembly may include a trocar assemblyoperably connected to the drive member. The trocar assembly may convertrotational motion from the drive member into linear motion. Theextension assembly may include a link assembly operably connecting thetrocar assembly to the drive member. The link assembly may include afirst drive shaft pivotally connected to a second drive shaft and acoupling member pivotally connected to the second drive shaft.

An extension assembly for operably connecting an end effector to anelectrosurgical instrument is also provided. The extension assemblyincludes an outer sleeve, a frame assembly received within the outersleeve, an inner flexible band assembly slidably disposed within theframe assembly for performing a first function, an outer flexible bandassembly slidably disposed within the frame assembly and relative to theinner flexible band assembly for performing a second function, and atrocar assembly disposed within the frame assembly and including atrocar member for performing a third function. The inner flexible bandassembly may include a proximal end configured for connection to a firstlinear drive member and the outer flexible band assembly may include aproximal end configured for connection to a second linear drive member.A proximal end of the trocar assembly may be configured for connectionto a rotatable drive shaft. Rotation of the rotatable drive shaft maycause linear advancement of the trocar member. The extension assemblymay further include a connection assembly configured for operableconnection with an end effector. A distal end of the inner flexible bandassembly may include a flange configured for operable connection with anend effector and a distal end of the outer flexible band assemblyincludes a flange configured for operable connection with an endeffector. The trocar member may be configured for operably connectionwith an anvil assembly. The extension assembly may further include alink assembly for operable connection with the trocar assembly, the linkassembly including a first shaft pivotally secured to a second shaft anda coupling member.

Also provided is a connection assembly for securing a first tubularmember to a second tubular member. The connection assembly includes atubular base having a flange and an annular rim. The connection assemblyfurther includes a tubular extension having first and second sectionsand an outer sleeve slidably disposed about the first and secondsections. The first and second sections may define an annular groovepositioned to receive the annular rim of the tubular base when the firstand second sections are received about the flange. The tubular base maybe secured to the first tubular member and the tubular extension may besecured to the second tubular member. The tubular base may be formed onan end of the first tubular member and the tubular extension is formedon an end of the second tubular member.

BRIEF DESCRIPTION OF THE DRAWINGS

Embodiments of the present disclosure are described herein withreference to the accompanying drawings, wherein:

FIG. 1 is a perspective separated view of an adapter assembly, inaccordance with an embodiment of the present disclosure, an extensionassembly, in accordance with an embodiment of the present disclosure,and an exemplary electromechanical surgical device;

FIG. 2 is a perspective side view of the exemplary electromechanicalsurgical device of FIG. 1;

FIG. 3 is a perspective side view of the adapter assembly of FIG. 1;

FIG. 4 is a perspective side view of the adapter assembly of FIG. 3 withthe outer sleeve removed;

FIG. 5 is a perspective side view of the adapter assembly of FIGS. 3 and4 with proximal and distal housings of first and second pusherassemblies removed;

FIG. 6 is a cross-sectional side view of the adapter assembly of FIGS.2-4 taken along line 6-6 in FIG. 3;

FIG. 7 is a cross-sectional side view of the adapter assembly of FIGS.2-5 taken along line 7-7 in FIG. 5;

FIG. 8 is an enlarged, perspective view of a coupling assembly and atransfer assembly of the adapter assembly of FIGS. 2-7;

FIG. 9 is a perspective side view of adapter assembly of FIGS. 2-7 withthe housing assemblies removed;

FIG. 10 is an enlarged view of the indicated area of detail of FIG. 9;

FIG. 11 is an enlarged view of the indicated area of detail of FIG. 6;

FIG. 12 is an enlarged view of the indicated area of detail of FIG. 7;

FIG. 13 is a perspective end view of the transfer assembly of FIG. 8;

FIG. 14 is an enlarged view of the indicated area of detail of FIG. 6;

FIG. 15 is an enlarged view of the indicated area of detail of FIG. 7;

FIG. 16 is an enlarged view of the indicated area of detail of FIG. 9;

FIG. 17 perspective side view of the extension assembly of FIG. 1;

FIG. 18 is a perspective side view of an inner flexible band assembly ofthe extension assembly of FIG. 17;

FIG. 19 is a perspective side view of an outer flexible band assembly ofthe extension assembly of FIG. 17;

FIG. 20 is a perspective side view of the inner and outer flexible bandassemblies of FIGS. 18 and 19 and an exploded view of a frame assemblyof the extension assembly of FIG. 17;

FIG. 21 is a perspective side view of the inner and outer flexible bandassemblies and frame assembly of FIG. 20;

FIG. 22 is an enlarged view of the indicated area of detail of FIG. 21;

FIG. 23 is a front, perspective view of the inner and outer flexibleband assemblies and frame assembly of FIG. 20;

FIG. 24 is an enlarged view of the indicated area of detail of FIG. 23;

FIG. 25 is a cross-sectional end view taken along line 25-25 of FIG. 17;

FIG. 26 is a cross-sectional end view taken along line 26-26 of FIG. 17;

FIG. 27 is an enlarged perspective side view of a distal end of theinner and outer flexible band assemblies and frame assembly of FIG. 20including a proximal seal member and first and second distal sealmembers;

FIG. 28 is an exploded perspective view of the proximal seal member andfirst and second distal seal members of FIG. 27;

FIG. 29 is an exploded view of a trocar assembly of the extensionassembly of FIG. 17;

FIG. 29A is a perspective side view of a link assembly of the extensionassembly of FIG. 17;

FIG. 29B is a cross-sectional side view of the link assembly of FIG.29A;

FIG. 30 is a perspective side view of the trocar assembly of FIG. 29;

FIG. 31 is a cross-sectional side view taken along line 31-31 of FIG.30;

FIG. 32 is a cross-sectional top view taken along line 32-32 of FIG. 17;

FIG. 33 is an enlarged cross-sectional view of the distal end of theextension assembly of FIG. 17;

FIG. 34 is a perspective side view of the adapter assembly of FIG. 3connected to the extension assembly of FIG. 17 and an end effector andan anvil assembly connected to the extension assembly;

FIG. 35A is an enlarged cross-sectional top view of the indicated areaof detail of FIG. 34;

FIG. 35B is an enlarged cross-sectional side view of the indicated areaof detail in FIG. 34;

FIG. 36 is a rear, perspective view of an adapter assembly according toanother embodiment of the present disclosure;

FIG. 37 is a perspective side view of the adapter assembly of FIG. 36with an outer sleeve and a handle member removed;

FIG. 38 is a perspective side view of adapter assembly of FIG. 37 with abase and housing members removed;

FIG. 39 is a perspective side view of the adapter assembly of FIG. 38with a support structure removed;

FIG. 40 is a cross-sectional side view taken along line 40-40 of FIG.36;

FIG. 41 is a cross-sectional side view taken along line 41-41 of FIG.40;

FIG. 42 is a rear, perspective view of an adapter assembly according toyet another embodiment of the present disclosure;

FIG. 43 is a cross-sectional side view taken along line 43-43 of FIG.42;

FIG. 44 is a cross-sectional side view taken along line 44-44 of FIG.42;

FIG. 45 is a perspective view of a connector assembly according to anembodiment of the present disclosure;

FIG. 46 is an exploded perspective view of the connector assembly ofFIG. 45;

FIG. 47 is a perspective view of the connector assembly of FIG. 45 witha sleeve and first section of a tubular extension removed;

FIG. 48 is a perspective view of the connector assembly of FIG. 45 withthe sleeve removed; and

FIG. 49 is a cross-sectional side view taken along line 49-49 of FIG.45.

DETAILED DESCRIPTION OF EMBODIMENTS

Embodiments of the presently disclosed adapter assemblies and extensionassemblies for surgical devices and/or handle assemblies are describedin detail with reference to the drawings, in which like referencenumerals designate identical or corresponding elements in each of theseveral views. As used herein the term “distal” refers to that portionof the adapter assembly or surgical device, or component thereof,farther from the user, while the term “proximal” refers to that portionof the adapter assembly or surgical device, or component thereof, closerto the user.

With reference to FIG. 1, an adapter assembly in accordance with anembodiment of the present disclosure, shown generally as adapterassembly 100, and an extension assembly according to an embodiment ofthe present disclosure, shown generally as extension assembly 200, areconfigured for selective connection to a powered hand heldelectromechanical instrument shown, generally as surgical device 10. Asillustrated in FIG. 1, surgical device 10 is configured for selectiveconnection with adapter assembly 100, and, in turn, adapter assembly 100is configured for selective connection with an extension assembly 200.Extension assembly 200 is configured for selective connection with atool assembly or end effector, e.g. tool assembly 30 (FIG. 34),including a loading unit, e.g. loading unit 40 (FIG. 34), and an anvilassembly, e.g., anvil assembly 50 (FIG. 34), for applying a circulararray of staples (not shown) to tissue (not shown).

As illustrated in FIGS. 1 and 2, surgical device 10 includes a handlehousing 12 having a lower housing portion 14, an intermediate housingportion 16 extending from and/or supported on lower housing portion 14,and an upper housing portion 18 extending from and/or supported onintermediate housing portion 16. A distal half-section of upper housingportion 18 defines a nose or connecting portion 18 a configured toaccept a corresponding drive coupling assembly 110 (FIG. 10) of adapterassembly 100. For a detailed description of the structure and functionof an exemplary electromechanical instrument, please refer to commonlyowned U.S. Pat. Appl. Publ. No. 2012/0253329 (“the '329 application”),the contents of which is incorporated by reference herein in itsentirety.

Adapter assembly 100 will now be described with reference to FIGS. 3-20.Referring initially to FIG. 3, adapter assembly 100 includes a proximalend 102 configured for operable connection to connecting portion 18 a(FIG. 1) of surgical device 10 (FIG. 1) and a distal end 104 configuredfor operable connection to extension assembly 200 (FIG. 1).

Turning to FIGS. 3-5, from proximal end 102 to distal end 104 of adapterassembly 100 includes a drive coupling assembly 110, a drive transferassembly 130 operably connected to drive coupling assembly 110, a firstpusher assembly 160 operably connected to drive transfer assembly 130,and a second pusher assembly 180 operably connected to drive transferassembly 130. Each of drive transfer assembly 130, first pusher assembly160 and second pusher assembly 180 are operably maintained within anouter sleeve 106 (FIG. 3). As will be described in further detail below,a shaft 108 (FIG. 3) extends longitudinally through adapter assembly 100and is operably connected to drive transfer assembly 130.

With reference to FIGS. 5-9, drive coupling assembly 110 has acylindrical profile and is configured to selectively secure adapterassembly 100 to surgical device 10 (FIG. 1). Drive coupling assembly 110includes a connector housing 112 and a connector extension 114 fixedlyconnected to connector housing 112 by a mounting plate 113. Connectorhousing 112 and connector extension 114 operate to rotatably support afirst rotatable proximal drive shaft 116, a second rotatable proximaldrive shaft 118, and a third rotatable proximal drive shaft 120.Connector housing 112 and connector extension 114 of drive couplingassembly 110 also rotatably supports first, second, and third connectorsleeves 116, 118, and 120, respectively. Each of connector sleeves 122,124, 126 is configured to mate with respective first, second, and thirddrive connectors (not shown) of surgical device 10 (FIG. 1). Eachconnector sleeve 122, 124, 126 is further configured to mate with aproximal end 116 a, 118 a, 120 a of respective first, second and thirdproximal drive shafts 116, 118, 120.

Drive coupling assembly 110 also includes first, second and thirdbiasing members 122 a, 124 a and 126 a disposed distally of respectivefirst, second and third connector sleeves 122, 124, 126. Each of biasingember 122 a, 124 a and 126 a is disposed about respective first, second,and third rotatable proximal drive shafts 122, 124 and 126 to helpmaintain connector sleeves 122, 124, and 126 engaged with the distal endof respective drive rotatable drive connectors (not shown) of surgicaldevice 10 when adapter assembly 100 is connect to surgical device 10. Inparticular, first, second and third biasing members 122 a, 124 a and 126a function to bias respective connector sleeves 122, 124 and 126 in aproximal direction.

For a detailed description of an exemplary drive coupling assembly,please refer to the '329 application, the contents of which waspreviously incorporated by reference herein.

With reference to FIGS. 9-13, drive transfer assembly 130 has acylindrical profile and operably connects distal ends of first, secondand third rotatable proximal drive shafts 116, 118 and 120 to shaft 108,first pusher assembly 160, and second pusher assembly 180, respectively.Drive transfer assembly 130 includes a support plate 132 (FIGS. 11 and12) secured to a proximal end of connector housing 112 and a drivetransfer housing 134 positioned adjacent support plate 132. Supportplate 132 and housing 134 operate to rotatably support a first rotatabledistal drive shaft 136, a second rotatable distal drive shaft 138 and adrive member 140.

First and second rotatable distal drive shafts 136 and 138 are eachoperably connected to respective first and second rotatable proximaldrive shafts 116 and 118 of drive coupling assembly 110 by a pair ofgears. In particular, distal ends of each of first and second rotatableproximal drive shaft 116 and 118 include a geared portion 142 a and 144a, respectively, which engages a proximal drive gear 142 b and 144 b ona proximal end of respective first and second distal drive shafts 136and 138. As shown, each of respective paired geared portion and proximaldrive gear 142 a, 142 b and 144 a, 144 b are the same size to provide a1:1 gear ratio between the respective rotatable proximal and distaldrive shafts. In this manner, respective rotatable proximal and distaldrive shafts rotate at the same speed. However, it is envisioned thateither or both of the paired geared portions and proximal drive gearsmay be of different sizes to alter the gear ratio between the rotatableproximal and distal drive shafts.

A distal end of third proximal drive shaft 120 of drive couplingassembly 110 includes a geared portion 146 a that engages a gearedportion 146 b formed on a proximal end of drive member 140 of drivetransfer assembly 130. The size of geared portion 146 a on thirdproximal drive shaft 120 and geared portion 146 b on drive member 140are the same size to provide a 1:1 gear ratio between third proximaldrive shaft 120 and drive member 140. In this manner, third proximaldrive shaft 120 and drive member 140 rotate at the same speed. However,it is envisioned that either or both of geared portions 146 a, 146 b maybe of different sizes to alter the gear ratio between third proximaldrive shaft 120 and drive member 140. A distal end of drive member 140defines a socket 145 that receives a proximal end 108 a of shaft 108.Alternatively, socket 145 may be configured to operably engage aproximal end 208 a of a drive shaft (FIG. 17) of an extension assembly200 (FIG. 17).

Drive transfer assembly 130 also includes a drive connector 148 (FIG.11) operably connecting first rotatable distal drive shaft 136 to firstpusher assembly 160 and a tubular connector 150 operably connectingsecond rotatable distal drive shaft 138 to second pusher assembly 180.In particular, a distal end of first rotatable distal drive shaft 136includes a geared portion 152 a that engages a geared portion 152 b ofdrive connector 148. A distal end of second rotatable distal drive shaft138 includes a geared portion 154 a that engages a drive gear 154 bsecured to a distal end of tubular connector 150.

As shown, geared portion 152 a of first rotatable distal drive shaft 136is smaller than geared portion 152 b of drive connector 148 to provide agear ratio of greater than 1:1 between first rotatable distal driveshaft 136 and drive connector 148. In this manner, drive connector 148rotates at a slower speed than first rotatable distal drive shaft 136.Similarly, geared portion 154 a of second rotatable distal drive shaft138 is smaller than drive gear 154 b on tubular connector 150 to providea gear ratio of greater than 1:1 between second rotatable distal driveshaft 138 and drive connector 148. In this manner, tubular connector 150rotates at a slower speed than second rotatable distal drive shaft 138.However, it is envisioned that each of paired geared portion 152 a andgeared portion 152 b, and geared portion 154 a and drive gear 154 b maybe the same size to provide a gear ratio of 1:1 between respective firstrotatable distal drive shaft 136 and drive connector 148 and betweensecond rotatable distal drive shaft 138 and tubular connector 150.

With particular reference to FIGS. 9-13, first pusher assembly 160includes proximal and distal housing sections 162, 164 (FIG. 11), aplanetary gear assembly 166 operably mounted within proximal housingsection 162, a screw member 168 (FIG. 11) operably connected toplanetary gear assembly 166 and rotatably supported within distalhousing section 164, and a pusher member 170 (FIG. 11) operablyconnected screw member 168 and slidably disposed within distal housingsection 164. Proximal housing section 162 includes a pair oflongitudinal flanges 162 a (FIG. 4; only one shown) and distal housingsection 164 includes a pair of longitudinally flattened portions 164 a.Each of the flanges 162 a and the flattened portions 164 a of respectiveproximal and distal housing sections 162, 164 engage an inner surface ofsleeve 106 to prevent rotation of respective proximal housing section162 and distal housing section 164 relative to sleeve 106 duringoperation of surgical device 10. Planetary gear assembly 166 includesfirst and second planetary gear systems 166 a, 166 b (FIG. 10). Firstplanetary gear system 166 a includes a central drive gear 172 a mountedon a distal end of drive connector 148 of drive transfer assembly 130and a plurality of planetary gears 174 a rotatably mounted to arotatable support ring 176.

Each planetary gear 174 a engages central drive gear 172 a and a toothedinner surface 165 of proximal housing section 162. As central drive gear172 a rotates in a first direction, i.e., clockwise, each planetary gear174 a rotates in a second direction, i.e., counter-clockwise. As eachplanetary gear 174 a rotates in the second direction, engagement ofplanetary gears 174 a with toothed inner surface 165 of distal housingsection 162 causes rotatable support ring 176 to rotate in the firstdirection. Conversely, rotation of central drive gear 172 a in thesecond direction causes rotation of each planetary gear 174 a in thefirst direction thereby causing rotation of rotatable support ring 176in the second direction. The configuration of first planetary gearsystem 166 a provides a reduction in the gear ratio. In this manner, thespeed of rotation of rotatable support ring 174 is less than the speedof rotation of central drive gear 172 a.

Second planetary gear system 166 b includes a central drive gear 172 bsecurely affixed to rotatable support ring 176 and a plurality ofplanetary gears 174 b rotatably mounted to a proximal end surface 168 aof screw member 168. Each planetary gear 174 b engages central drivegear 172 b and toothed inner surface 165 of proximal housing section162. As rotatable support ring 176 of first planetary gear system 166 arotates in the first direction thereby causing central drive gear 172 bto also rotate in the first direction, each planetary gear 174 b rotatesin the second direction. As each planetary gear 174 b rotates in thesecond direction, engagement of planetary gears 174 b with toothed innersurface 165 of proximal housing section 162 causes screw member 168 torotate in the first direction. Conversely, rotation of central drivegear 172 b in the second direction causes rotation of each planetarygear 174 b in the first direction, thereby causing screw member 168 torotate in the second direction. The configuration of second planetarygear system 166 b provides a reduction in the gear ratio. In thismanner, the speed of rotation of screw member 168 is less than the speedof rotation of central drive gear 172 b. First and second planetary gearsystems 166 a, 166 b operate in unison to provide a reduction in thegear ratio between first rotatable proximal drive shaft 116 and screwmember 168. In this manner, the reduction in the speed of rotation ofscrew member 168 relative to drive connector 148 is a product of thereduction provided by the first and second planetary gear systems 166 a,166 b.

Screw member 168 is rotatably supported within proximal housing portion162 and includes a threaded distal end 168 b that operably engages athreaded inner surface 170 a of pusher member 170. As screw member 168is rotated in the first direction, engagement of threaded distal end 168b of screw member 168 with threaded inner surface 170 a of pusher member170 causes longitudinal advancement of pusher member 170, as indicatedby arrows “A” in FIG. 12. Conversely, rotation of screw member 168 inthe second direction causes retraction of pusher member 170.

Pusher member 170 includes a pair of tabs 178 formed on a distal endthereof for engaging connector extensions 240, 242 (FIG. 19) of outerflexible band assembly 230 (FIG. 19) of extension assembly 200 (FIG.17). Although shown as tabs 178, it is envisioned that pusher member 170may include any structure suitable for selectively engaging connectorextensions 240, 242 of outer flexible band 230 of extension assembly200.

With particular reference now to FIGS. 14-16, second pusher assembly 180is substantially similar to first pusher assembly 160, and includesproximal and distal housing sections 182, 184, a planetary gear assembly186 operably mounted within proximal housing section 182, a screw member188 operably connected to planetary gear assembly 186 and rotatablysupported within distal housing section 184, and a pusher member 190operably connected to screw member 188 and slidably disposed withindistal housing section 184. Each of proximal housing section 182 anddistal housing section 184 includes a pair of longitudinal flanges 182a, 184 a (FIG. 4; only one shown), respectively, engage an inner surfaceof sleeve 106 of adapter assembly 100 to prevent rotation of respectiveproximal housing section 182 and distal housing section 184 relative tosleeve 106 during operation of surgical device 10. Planetary gearassembly 186 includes first and second planetary gear systems 186 a, 186b (FIG. 16). First planetary gear system 186 a includes a central drivegear 192 a mounted on a distal end of tubular connector 150 of drivetransfer assembly 130 and a plurality of planetary gears 194 a rotatablymounted to a rotatable support ring 196.

Each planetary gear 194 a engages central drive gear 192 a and a toothedinner surface 185 of proximal housing section 182. As central drive gear192 a rotates in a first direction, i.e., clockwise, each planetary gear194 a rotates in a second direction, i.e., counter-clockwise. As eachplanetary gear 194 a rotates in the second direction, engagement ofplanetary gears 194 a with toothed inner surface 185 of distal housingsection 182 causes rotatable support ring 196 to rotate in the firstdirection. Conversely, rotation of central drive gear 192 a in thesecond direction causes rotation of each planetary gear 194 a in thefirst direction thereby causing rotation of rotatable support ring 196in the second direction. The configuration of first planetary gearsystem 186 a provides a reduction in the gear ratio. In this manner, thespeed of rotation of rotatable support ring 194 is less than the speedof rotation of central drive gear 190 a.

Second planetary gear system 186 b includes a central drive gear 192 bsecurely affixed to rotatable support ring 196 and a plurality ofplanetary gears 194 b rotatably mounted to a proximal end surface 188 aof screw member 188. Each planetary gear 194 b engages central drivegear 192 b and toothed inner surface 185 of proximal housing section182. As rotatable support ring 196 of first planetary gear system 186 arotates in the first direction thereby causing central drive gear 192 bto also rotate in the first direction, each planetary gear 174 b rotatesin the second direction. As each planetary gear 194 b rotates in thesecond direction, engagement of planetary gears 194 b with toothed innersurface 185 of proximal housing section 182 causes screw member 188 torotate in the first direction. Conversely, rotation of central drivegear 192 b in the second direction causes rotation of each planetarygear 194 b in the first direction, thereby causing screw member 198 torotate in the second direction. The configuration of second planetarygear system 186 b provides a reduction in the gear ratio. In thismanner, the speed of rotation of screw member 188 is less than the speedof rotation of central drive gear 182 b. First and second planetary gearsystems 186 a, 186 b operate in unison to provide a reduction in thegear ratio between second rotatable proximal drive shaft 118 and screwmember 188. In this manner, the reduction in the speed of rotation ofscrew member 188 relative to tubular connector 150 is a product of thereduction provided by the first and second planetary gear systems 186 a,186 b.

Screw member 188 is rotatably supported within proximal housing portion182 and includes a threaded distal end 188 b that operably engages athreaded inner surface 190 a of pusher member 190. As screw member 188is rotated in the first direction, engagement of threaded distal end 188b of screw member 188 with threaded inner surface 190 a of pusher member190 causes longitudinal advancement of pusher member 190. Conversely,rotation of screw member 188 in the second direction causes retractionof pusher member 190. Pusher member 190 includes a pair of longitudinalflanges 191 (FIG. 5; only one shown) that engage distal housing section184 of second pusher assembly 180 for preventing rotation of pushermember 190 relative distal housing section 184.

Pusher member 190 includes a pair of tabs 198 formed on a distal endthereof for engaging connector extensions 220, 224 (FIG. 18) of innerflexible band assembly 220 (FIG. 18) of extension assembly 200 (FIG.17). Although shown as tabs 198, it is envisioned that pusher member 190may include any structure suitable for selectively engaging connectorextensions 240, 242 of outer flexible band 230 of extension assembly200.

Extension assembly 200 for operably connecting adapter assembly 100(FIG. 3) with a circular loading unit, e.g. loading unit 40 (FIG. 34)and an anvil assembly, e.g., anvil assembly 50 (FIG. 34) will bedescribed with reference now to FIGS. 17-34. In particular, a proximalend 202 of extension assembly 200 operably connects with distal end 104(FIG. 3) of adapter assembly 100 (FIG. 3) and a distal end 204 ofextension assembly 200 operably connects with loading unit 40 and anvilassembly 50. As shown, extension assembly 200 provides a slightcurvature between proximal and distal end 202, 204. In alternativeembodiment, extension assembly 200 may be straight or may include agreater curvature. Although extension assembly 200 will be shown anddescribed as being used to connect loading unit 40 and anvil assembly 50to adapter assembly 100 (FIG. 3), it is envisioned that the aspects ofthe present disclosure may be modified for use with various loadingunits, anvil assemblies, and adapter assemblies. Exemplary loading unitsand anvil assemblies are described in commonly owned U.S. Pat. No.8,590,763 and U.S. patent application Ser. Nos. 14/056,301 and14/149,355, the contents of each being incorporated herein by referencein their entirety.

Extension assembly 200 includes an inner flexible band assembly 210(FIG. 18), about an outer flexible band assembly 230 (FIG. 19) slidablydisposed about inner flexible band assembly 210, a frame assembly 250(FIG. 20) for supporting inner and outer flexible band assemblies 210,230, a trocar assembly 270 (FIG. 29) operably received through inner andouter flexible band assemblies 210, 230, and a connector assembly 290for securing loading unit 40 (FIG. 34) to extension assembly 200. Anouter sleeve 206 (FIG. 17) is received about frame assembly 250 andtrocar assembly 270 and inner and outer flexible band assemblies 210,230 are slidably received through outer sleeve 206. As will be describedin further detail below, extension assembly 200 may include a driveshaft 208 operably connected to trocar assembly 270 and extendingthrough proximal end 202 of extension assembly 200.

With reference to FIG. 18, inner flexible band assembly 210 includesfirst and second inner flexible bands 212, 214, a support ring 216, asupport base 218, and first and second connection extensions 220, 222.Proximal ends 212 a, 214 a of respective first and second inner flexiblebands 212, 214 are laterally spaced apart and securely attached tosupport ring 216. Distal ends 212 b, 214 b of first and second innerflexible bands 212, 214 are laterally spaced apart and securely attachedto a proximal end 218 a of support base 218. Each of first and secondinner flexible bands 212, 214 may be attached to support ring 216 and/orsupport base 218 in any suitable manner, including, for example, bypress-fitting, welding, adhesives, and/or with mechanical fasteners. Aswill be described in further detail below, inner flexible band assembly210 is configured to be slidably received about trocar assembly 270(FIG. 28) and within outer flexible band assembly 230 (FIG. 19) andouter sleeve 206 (FIG. 17).

First and second connection extensions 220, 222 of inner flexible bandassembly 210 extend proximally from support ring 216 and operablyconnect inner flexible band assembly 210 with pusher member 190 (FIG.15) of second pusher assembly 180 (FIG. 15) of adapter assembly 100(FIG. 3). In particular, each of first and second connection extensions220, 222 define openings 221, 223 configured to receive tabs 198 (FIG.15) of pusher member 190 (FIG. 15) of second pusher assembly 180.Receipt of tabs 198 of pusher member 190 within openings 221, 223 ofrespective first and second extensions 220, 222 secure inner flexibleband assembly 210 of extension assembly 200 with second pusher assembly180 of adapter assembly 100. First and second connection extensions 220,222 may be integrally formed with support ring 216, or attached theretoin any suitable manner.

Support base 218 extends distally from inner flexible bands 212, 214 andis configured to selectively connect extension assembly 200 with loadingunit 40 (FIG. 34). Specifically, a distal end 218 b 218 a of supportbase 218 includes a flange 224 for operable engagement with an axiallymovable assembly (not shown) of loading unit 40 (FIG. 34). In oneembodiment, flange 224 is configured for connection with a knifeassembly (not shown) of loading unit 40 (FIG. 34).

With reference now to FIG. 19, outer flexible band assembly 230 issubstantially similar to inner flexible band assembly 210 and includesfirst and second flexible bands 232, 234 laterally spaced and connectedon proximal ends 232 a, 234 a to a support ring 236 and on distal ends232 b, 234 b to a proximal end 238 a of a support base 238. Each offirst and second outer flexible bands 232, 234 may be attached tosupport ring 236 and support base 238 in any suitable manner, including,for example, by press-fitting, welding, adhesives, and/or withmechanical fasteners. As will be described in further detail below,outer flexible band assembly 230 is configured to receive trocarassembly 270 (FIG. 28) therethrough.

First and second connection extensions 240, 242 of outer flexible bandassembly 230 extend proximally from support ring 236 and operablyconnect outer flexible band assembly 230 with pusher member 170 (FIG.12) of first pusher assembly 160 (FIG. 12) of adapter assembly 100 (FIG.1). In particular, each of first and second connection extensions 240,242 define openings 241, 243 configured to receive tabs 178 (FIG. 12) ofpusher member 170 of first pusher assembly 180. Receipt of tabs 178 ofpusher member 170 within openings 241, 243 of respective first andsecond extensions 240, 242 secures outer flexible band assembly 230 ofextension assembly 200 with first pusher assembly 180 of adapterassembly 100. First and second connection extensions 240, 242 may beintegrally formed with support ring 236, or attached thereto in anysuitable manner.

Support base 238 extends distally from outer flexible bands 232, 234 andis configured to selectively connect extension assembly 200 with loadingunit 40 (FIG. 34). Specifically, a distal end 238 b of support base 238includes a flange 244 for operable engagement with an axially movableassembly (not shown) of a loading unit (not shown). In one embodiment,flange 244 is configured for connection with a staple pusher assembly(not shown) of loading unit 40 (FIG. 34).

With reference now to FIGS. 20-26, frame assembly 250 includes first andsecond proximal spacer members 252, 254, and first and second distalspacer members 256, 258. When secured together, first and secondproximal spacer members 252, 254 define a pair of inner longitudinalslots 253 a for slidably receiving first and second flexible bands 212,214 (FIG. 18) of inner flexible band assembly 210 (FIG. 18) and a pairof outer longitudinal slots 253 b for slidably receiving first andsecond flexible bands 232, 234 (FIG. 19) of outer flexible band assembly230 (FIG. 19). First and second proximal spacer members 252, 254 furtherdefine a longitudinal passage 255 for receipt of trocar assembly 270.

In one embodiment, and as shown, first and second proximal spacermembers 252, 254 are formed of plastic and are secured together with asnap-fit arrangement. Alternatively, first and second proximal spacermembers 252, 254 may be formed of metal or other suitable material andmay be secured together in any suitable manner, including by welding,adhesives, and/or using mechanical fasteners.

First and second distal spacer members 256, 258 define a pair of innerslots 257 a for slidably receiving first and second flexible bands 212,214 (FIG. 18) of inner flexible band assembly 210 (FIG. 18) and a pairof outer slots 257 b for slidably receiving first and second flexiblebands 232, 234 (FIG. 19) of outer flexible band assembly 230 (FIG. 19).First and second distal spacer members 256, 258 further define alongitudinal passage 259 for receipt of trocar assembly 270.

In one embodiment, and as shown, each of first and second distal spacermembers 256, 258 are secured about inner and outer flexible bandassemblies 210, 230 and to outer sleeve 206 (FIG. 17) by a pair ofscrews 260 a, 260 b (FIG. 26). Alternatively, first and second distalspacer members 256, 258 may be secured together in any suitable manner,including by welding, adhesives, and/or using mechanical fasteners.First and second distal spacer members 256, 258 may be formed of metalor any other suitable material.

With reference now to FIGS. 27 and 28, frame assembly 250 furtherincludes a proximal seal member 252 and first and second distal sealmembers 264, 266. Each of proximal seal member 252 and first and seconddistal seal members 264, 266 include seals halves 262 a, 262 b, 264 a,264 b, 266 a, 266 b, respectively. Proximal seal member 262 is receivedbetween first and second proximal spacer members 252, 254 and first andsecond distal spacer members 256, 258. First half 264 a of first distalseal member 264 is secured to first half 266 a of second distal sealmember 266 and second half 264 b of first distal seal member 264 issecured to second half of second distal seal member 266. Proximal sealmember 262 and first and second distal seal members 264, 266 engageouter sleeve 206 (FIG. 17), inner and outer flexible bands 212, 214 and232, 234 of respective inner and outer flexible band assemblies 210, 230and trocar assembly 270 (FIG. 28) in a sealing manner. In this manner,proximal seal member 262 and first and second distal seal members 264,266 operate to provide a fluid tight seal between distal end 204 andproximal end 202 of extension assembly 200.

With reference to FIGS. 29-32, trocar assembly 270 of extension assembly200 includes an outer housing 272, a trocar member 274 slidably disposedwithin tubular outer housing 272, and a drive screw 276 operablyreceived within trocar member 274 for axially moving trocar member 274relative to tubular housing 272. In particular, trocar member 274includes a proximal end 274 a having an inner threaded portion 273 whichengages a threaded distal portion 276 b of drive screw 276. As drivescrew 276 is rotated within trocar member 274, engagement of innerthreaded portion 273 of trocar member 274 with threaded distal portion276 b of drive screw 276 causes longitudinal movement of trocar member274 within outer housing 272 of trocar assembly 270. Rotation of drivescrew 276 in a first direction causes longitudinal advancement of trocarmember 274 and rotation of drive screw 276 in a second direction causeslongitudinal retraction of trocar member 274. A distal end 274 b oftrocar member 274 is configured to selectively engage anvil assembly 50(FIG. 34).

A bearing assembly 278 is mounted to a proximal end 272 a of outerhousing 272 of trocar assembly 270 for rotatably supporting a proximalend 276 a of drive screw 276 relative to outer housing 272 and trocarmember 274. Bearing assembly 278 includes a housing 278 a, proximal anddistal spacers 278 b, proximal and distal retention clips 278 c,proximal and distal bearings 278 d, and a washer 278 e. As shown,proximal end 276 a of drive screw 276 includes a flange 276 c forconnection with a link assembly 280.

Link assembly 280 operably connects transfer assembly 130 (FIG. 6) ofadapter assembly 100 with trocar assembly 270 (FIG. 30) of extensionassembly 200. More particularly, link assembly 280 transfers rotationalenergy from drive member 140 (FIG. 6) of transfer assembly 130 ofadapter assembly 100 through the curved outer tube 206 (FIG. 17) ofextension assembly 200 to flange 276 c (FIG. 29) on proximal end 276 aof drive screw 276 of trocar assembly 270 of extension assembly 200,with reference to FIGS. 29A and 29B, link assembly 280 includes acoupling member 282, a first drive shaft 284, and a second drive shaft286. A proximal end 282 a of coupling member 282 defines a recess 283 afor receiving a distal end 284 b of first drive shaft 284. A distal end282 b of coupling member 282 defines a recess 283 a for operablyreceiving flange 276 c on proximal end 276 a of drive screw 276.Coupling member 282 includes an annular flange 282 c for rotatablyreceiving coupling member 282 between first and second proximal spacermembers 252, 254 (FIG. 32). Proximal and distal ends 284 a, 284 of firstdrive shaft 284 define oversized openings 285 a, 285 b, respectively,for receiving pins 288 a, 288 b, respectively. A distal end 286 b ofsecond drive shaft 286 defines a recess 287 for operably receivingproximal end 284 a of drive shaft 284. A proximal end 286 a of driveshaft 286 includes a flange 286 c for operable receipt within socket 145of drive member 140 of drive transfer assembly 130 of adapter assembly100 (FIG. 12).

With particular reference to FIG. 29B, proximal end 284 a of first driveshaft 284 is operably received within recess 287 in distal end 286 b ofsecond drive shaft 286. Distal end 284 b of first drive shaft 284 ispivotally secured within recess 283 a of coupling member 282 by pin 288a received through oversized opening 285 b in distal end 284 b of firstdrive shaft 284. Proximal end 284 a of first drive shaft 284 ispivotally secured within recess 287 in distal end 286 b of second driveshaft 286 by pin 288 b received through oversized opening 285 a inproximal end 284 a of first drive shaft 284. Recesses 283 a and 287 ofcoupling member 282 and second drive shaft 286, respectively, andoversized openings 285 a, 285 b of first drive shaft 284 are configuredto permit pivoting of second drive shaft 286 relative to first driveshaft 284 and pivoting of first drive shaft 284 relative to couplingmember 282 as each of first and second drive shaft 284, 286, andcoupling member 282 are rotated about their respective longitudinal axesto transfer rotational force from transfer assembly 130 (FIG. 6) ofadapter assembly 100 to trocar assembly 270 (FIG. 30) of extensionassembly 200.

With reference now to FIGS. 32 and 33, connector assembly 290 ofextension assembly 200 includes a tubular connector 292 attached to adistal end 206 b of outer sleeve 206 and about distal ends of inner andouter flexible assemblies 210, 230 (FIG. 26) and trocar assembly 270. Inparticular, a proximal end 292 a of tubular connector 292 is receivedwithin and securely attached to distal end 206 b of outer sleeve 206 bya retaining clip 294. An O-ring 296 forms a fluid tight seal betweentubular connector 292 of connector assembly 290 and outer sleeve 206. Adistal end 292 b of tubular connector 292 is configured to selectivelyengage a proximal end of loading unit 40 (FIG. 34). Distal end 292 b oftubular connector 292 engages the circular loading unit with a snap-fitarrangement, bayonet coupling, or in another suitable manner.

With reference now to FIGS. 34 and 35, extension assembly 200 isconnected to adapter assembly 100 by receiving proximal end 202 (FIG.17) of extension assembly 200 within distal end 104 of adapter assembly100. In particular, first and second connection extensions 220, 240,222, 242 of respective inner and outer flexible band assemblies 210, 230are received within sleeve 106 of adapter assembly 100 such that tabs178 of pusher member 170 of first pusher assembly 160 of adapterassembly 100 are received within openings 241, 243 of respective firstand second connection extensions 240, 242 of outer flexible bandassembly 230 to secure outer flexible band assembly 230 with firstpusher assembly 160 and tabs 198 of pusher member 190 of second pusherassembly 180 of adapter assembly 100 are received within openings 221,223 of first and second connection extensions 221, 223 of inner flexibleband assembly 210 to secure inner flexible band assembly 210 with secondpusher assembly 180.

As noted above, adapter assembly 100 may include a drive shaft 108 (FIG.3) that extends from distal end 104 of adapter assembly 100. Prior toreceipt of proximal portion 202 of extension assembly 200 within distalend 104 of extension assembly 100, drive shaft 108 is removed fromadapter assembly 100. As proximal portion 202 of extension assembly 200is received within distal end 102 of adapter assembly 100, proximal end286 a (FIG. 17) of second drive shaft 286 (FIG. 17) is received withinsocket 145 of drive member 140 of drive transfer assembly 130 ofextension assembly 100 (FIG. 12).

After extension assembly 200 is operably engaged with adapter assembly100, and adapter assembly 100 is operably engaged with surgical device10 (FIG. 1), loading unit 40 (FIG. 34) of end effector 30 (FIG. 34) maybe attached to connector assembly 290 of extension assembly 200 and ananvil assembly 50 (FIG. 34) may be attached to distal end 274 b oftrocar 274 of extension assembly 200 in a conventional manner. Duringactuation of loading unit 40 and anvil assembly 50, longitudinaladvancement of pusher member 190 of second pusher assembly 180 ofadapter assembly 100, as described above, and as indicated by arrows “C”in FIG. 35A, causes longitudinal advancement of outer flexible bandassembly 230 of extension assembly 200 and longitudinal advancement ofpusher member 170 of first pusher assembly 160, as described above, andas indicated by arrows “D” in FIG. 35A, causes longitudinal advancementof inner flexible band assembly 210. Rotation of drive shaft 108 in afirst direction, as described above, and as indicated by arrow “E”,causes advancement of trocar 274 of extension assembly 200. Conversely,longitudinal retraction of pusher member 190 causes longitudinalretraction of outer flexible band assembly 230, longitudinal retractionof pusher member 170 causes longitudinal retraction of inner flexibleband assembly 210, and rotation of drive shaft 108 in a second directioncauses retraction of trocar 274 of extension assembly 200.

In embodiments, inner flexible band assembly 210 operably connectssecond pusher assembly 180 of adapter assembly 100 with a knife assembly(not shown) of loading unit 40 (FIG. 34) of end effector 30 (FIG. 34)attached to connector assembly 290 of extension assembly 200. Outerflexible band assembly 230 operably connects first pusher assembly 160of adapter assembly 100 with a staple driver assembly (not shown) ofloading unit 40. Trocar assembly 270 operably connects drive transferassembly 130 of adapter assembly 100 to anvil assembly 50 (FIG. 34) ofend effector 30 (FIG. 34). In this manner, operation of second pusherassembly 160 causes longitudinal movement of inner flexible bandassembly 210 which causes longitudinal movement of the knife assembly,operation of first pusher assembly 180 causes longitudinal movement ofouter flexible band assembly 230 which causes longitudinal movement ofthe staple driver assembly, and operation of drive transfer assembly 130causes longitudinal movement of trocar 274 which causes longitudinalmovement of anvil assembly 50 relative to loading unit 40.

By stacking first and second pusher assemblies 160, 180 of adapterassembly 100, as described, and positioning the drive shaft 108 of thetransfer assembly 130 through first and second pusher assemblies 160,180, adapter assembly 100 can perform three functions through an accessport or other opening (not shown) having a small diameter, e.g., 21 mm.Similarly, by configuring inner flexible band assembly 210 within outerflexible band assembly 230 and receiving trocar assembly 270 through theinner and outer flexible band assemblies 210, 230, extension assembly200 can perform three functions through an access port or other opening(not shown) having a small diameter, e.g., 21 mm.

With reference to FIGS. 36-41, an adapter assembly according to anotherembodiment of the present disclosure is shown as adapter assembly 300.Adapter assembly 300 is substantially similar to adapter assembly 100described hereinabove and will only be described as relates to thedifferences therebetween.

As will become apparent from the following description, theconfiguration of adapter assembly 300 permits rotation of a distalportion 304 of adapter assembly 300 about a longitudinal axis “x” (FIG.36), relative to a proximal portion 302 of adapter assembly 300. In thismanner, an end effector, e.g. end effector 30 (FIG. 34) secured todistal portion 304 of adapter assembly 300 or an end effector secured toan extension assembly, e.g., extension assembly 200 (FIG. 17) which issecured to distal portion 304 of adapter assembly 300 is rotatable aboutlongitudinal axis “x” independent of movement of the surgical device(not shown) to which adapter assembly 300 is attached.

Adapter assembly 300 includes a base 306 and a support structure 308rotatable relative to base 306 along longitudinal axis “x” of adapterassembly 300. A rotation handle 310 is rotatably secured to base 306 andfixedly secured to a proximal end of support structure 308. Rotationhandle 310 permits longitudinal rotation of distal portion 304 ofadapter assembly 300 relative to proximal end 302 of adapter assembly300. As will be described in further detail below, a latch 312 ismounted to rotation handle 310 and selectively secures rotation handle310 in a fixed longitudinal position.

Proximal portion 302 of adapter assembly 300 includes a drive couplingassembly 320 and a drive transfer assembly 330 operably connected todrive coupling assembly 320. Distal portion 304 of adapter assembly 300includes a first pusher assembly 340 operably connected to drivetransfer assembly 330, and a second pusher assembly 350 operablyconnected to drive transfer assembly 330. Drive coupling assembly 320and drive transfer assembly 330 are mounted within base 306, and thus,remain rotationally fixed relative to the surgical device (not shown) towhich adapter assembly 300 is attached. First pusher assembly 340 andsecond pusher assembly 350 are mounted within support structure 308, andthus, are rotatable relative to the surgical device (not shown) to whichadapter assembly 300 is attached.

Drive coupling assembly 320 is configured to selectively secure adapterassembly 300 to a surgical device (not shown). For a detaileddescription of an exemplary surgical device and drive coupling assembly,please refer to commonly owned U.S. Provisional Patent Application Ser.No. 61/913,572, filed Dec. 9, 2013, the content of which is incorporatedby reference herein in its entirety.

Rotation knob 310 is rotatably secured to base 306. Latch 312 includes apin 312 a (FIG. 38) configured to lock rotation knob 310 relative tobase 306. In particular, pin 312 a of latch 312 is received within aslot 307 formed in base 306 and is biased distally by a spring 314 intoa notch 307 a (FIG. 40) formed in base 306 and in communication withslot 307 to lock rotation knob 310 relative to base 306. Proximalmovement of latch 312, as indicated by arrow “F” in FIG. 38, retractspin 312 a from within notch 307 a to permit rotation of rotation knob310 relative to base 306. In embodiments, base 306 defines a secondnotch (not shown) diametrically opposed to notch 307 a for lockingrotation knob 310 in a first longitudinal orientation when pin 312 a oflatch 312 is received within notch 307 a and in a second longitudinalorientation that is one-hundred eighty degrees (180°) rotated from thefirst longitudinal orientation when the pin 312 a of latch 312 isreceived within the second notch. Alternatively, it is envisioned thatbase 306 may define a number of notches radially spaced about base 306and in communication with slot 307 that permit rotation knob 310 to belocked in a number of longitudinal orientations relative to base 306.

Drive transfer assembly 330, first drive pusher assembly 340, and seconddrive pusher assembly 350 of adapter assembly 300 are substantiallyidentical to respective drive transfer assembly 130, first drive pusherassembly 160, and second drive pusher assembly 180 of adapter assembly100 described hereinabove, and therefore, will only be described asrelates to the differences therebetween.

Support structure 308 is fixedly received about first and second drivepusher assemblies 340, 350 and rotatably relative to base 306. As notedabove, rotation knob 310 is fixedly secured to the proximal end ofsupport structure 308 to facilitate rotation of support structure 308relative to base 306. Support structure 308 is retained with outersleeve 305 of adapter assembly 300 and is configured to maintain axialalignment of first and second drive pusher assemblies 340, 350. Supportstructure 308 may also reduce the cost of adapter assembly 300 whencompared to the cost of adapter assembly 100.

Support structure 308 respectively includes first, second, third,fourth, fifth, sixth, and seventh plates 360 a, 360 b, 360 c, 360 d, 360e, 360 f, 360 g, first and second pluralities of tubular supports 362 a,362 b, first and second support rings 364 a, 364 b, first and secondplurality of ribs 366 a, 366 b, and a plurality of rivets 368. Fromproximal to distal, first and second plates 360 a, 360 b are maintainedin spaced apart relation to each other by the first plurality of tubularsupports 362 a, second and third plates 360 b, 360 c are maintained inspaced apart relation to each other by first support ring 364 a, thirdand fourth plates 360 c, 360 d are maintained in spaced apart relationto each other by first plurality of support ribs 366 a, fourth and fifthplates 360 d, 360 e are maintained in spaced apart relation to eachother by second plurality of tubular supports 362 b, fifth and sixthplates 360 e, 360 f are maintained in spaced apart relation to eachother by a second support ring 364 b, and sixth and seventh plates 360f, 360 g are maintained in spaced apart relation to each other by secondplurality of support ribs 366 b. First, second, third, fourth, fifth,sixth, and seventh plates 360 a-g are held together by a plurality ofrivets 368 secured to first and seventh plates 360 a, 360 g andextending through second, third, fourth, fifth, and sixth plates 360b-360 f, first and second support rings 364 a, 364 b, and respectivefirst and second plurality of tubular support 362 a, 362 b.

Adapter assembly 300 operates in a substantially similar manner toadapter assembly 100 described hereinabove. In addition, as described indetail above, adapter assembly 300 is configured to permit rotation ofan end effector, e.g., end effector 30 (FIG. 34) attached to adapterassembly 300 or attached to an extension assembly that is attached toadapter assembly 300 to be selectively rotated about longitudinal axis“x” (FIG. 36) during use.

With reference now to FIGS. 42-44, an adapter assembly according toanother embodiment of the present disclosure is shown generally asadapter assembly 400. Adapter assembly 400 is substantially similar toadapter assemblies 100 and 300 described hereinabove, and therefore willonly be described as relates to the differences therebetween.

Adapter assembly 400 includes a proximal portion 402 and a distalportion 404 rotatable along a longitudinal axis “x” relative to proximalportion 402. Distal portion 404 includes a support structure 408 securedto outer sleeve 405 and formed about first and second pusher assemblies440, 450. Support structure 408 includes a plurality of reinforcingmembers 462 extending substantially the length of outer sleeve 405.Reinforcing members 462 each include a proximal tab 462 a and a distaltab 462 b which extend through outer sleeve 405 to secure reinforcingmember 462 within outer sleeve 405. Proximal tabs 462 of reinforcingmembers 462 are further configured to engage a rotation knob 410 ofadapter assembly 400. Adapter assembly 400 may include annular plates(not shown) positioned radially inward of reinforcing members 462 thatmaintain proximal and distal tabs 462 a, 462 b of reinforcing members462 in engagement with outer sleeve 405. The annular plates may alsoprovide structure support to distal portion 404 of adapter assembly 400.The configuration of adapter assembly 400 allows for a single tube, e.g.outer sleeve 405, for containing the drive components. With reference toFIGS. 45-49, a connection assembly according to an embodiment of thepresent disclosure is shown generally as connection assembly 500. Asshown and will be described, connection assembly 500 is configured to beattached to first and second tubular bodies (not shown) for connectingthe first tubular body, i.e., adapter assembly 100 (FIG. 3), 300 (FIG.36), 400 (FIG. 42), to the second tubular body, i.e., extension assembly200 (FIG. 17). It is envisioned, however, that the aspects of thepresent disclosure may be incorporated directly into the first andsecond tubular bodies to permit connection of the first tubular bodydirectly to the second tubular body.

Connection assembly 500 includes a tubular base 510 and a tubularextension 520 formed of first and second sections 520 a, 520 b and anouter sleeve 522. As shown, tubular base 510 defines a pair of openings511 for securing tubular base 510 to a first tubular body (not shown).Alternatively, tubular base 510 may include only a single opening, oneor more tabs (not shown), and/or one or more slots (not shown), forsecuring tubular base 510 to the first tubular body (not shown). Aflange 512 extends from a first end of tubular base 510 and includes anannular rim 514 extending thereabout.

First and second sections 520 a, 520 b of tubular extension 520 aresubstantially similar to one another and each define a groove 521 formedalong an inner first surface thereof. Each of first and second section520 a, 520 b of tubular extension 520 is configured to be received aboutflange 512 of tubular base 510 such that rim 514 of tubular base 510 isreceived within grooves 521 of first and second sections 520 a, 520 b oftubular extension 520. Once first and second sections 520 a, 520 b oftubular extension 520 are received about flange 512 of tubular base 510,outer sleeve 522 of tubular extension 520 is received about first andsecond sections 520 a, 520 b of tubular extension 520 to secure tubularextension 520 to tubular base 510.

As shown, each of first and second sections 520 a, 520 b of tubularextension 520 define an opening 523 configured to be aligned with a pairof openings 525 in outer sleeve 522 to secure outer sleeve 522 to firstand second sections 520 a, 520 b. Either or both of first and secondsections 520 a, 520 b and outer sleeve 522 may include one or more tabs,and/or one or more slots for securing outer sleeve 522 about first andsecond extensions. Alternatively, outer sleeve 522 may be secured tofirst and second sections 520 a, 520 b in any suitable manner.

Outer sleeve 522 may be selectively secured about first and secondextensions for selective removal of outer sleeve 522 from about firstand second sections 520 a, 520 b to permit separation of tubularextension 520 from tubular base 510. Alternatively, outer sleeve 522 maybe permanently secured about first and second section to prevent tubularextension 520 from being separated from tubular base 510. As notedabove, although tubular base 510 and tubular extension 520 are shown anddescribed as forming an independent connection assembly 500, it isenvisioned that tubular base 510 may be formed on a first tubularmember, i.e., adapter assembly 100 (FIG. 3) and tubular extension 520may be formed on a second tubular member, i.e., extension assembly 200(FIG. 17) such that the first tubular member may be directly connectedto the second tubular member.

Any of the components described herein may be fabricated from eithermetals, plastics, resins, composites or the like taking intoconsideration strength, durability, wearability, weight, resistance tocorrosion, ease of manufacturing, cost of manufacturing, and the like.

Persons skilled in the art will understand that the devices and methodsspecifically described herein and illustrated in the accompanyingdrawings are non-limiting exemplary embodiments. It is envisioned thatthe elements and features illustrated or described in connection withone exemplary embodiment may be combined with the elements and featuresof another without departing from the scope of the present disclosure.As well, one skilled in the art will appreciate further features andadvantages of the disclosure based on the above-described embodiments.Accordingly, the disclosure is not to be limited by what has beenparticularly shown and described, except as indicated by the appendedclaims.

What is claimed is:
 1. An assembly for operably connecting an endeffector to an electrosurgical instrument, the adapter assemblycomprising: an adapter assembly including, a connector assembly; a drivetransfer assembly operably received through the connector assembly andincluding first, second, and third rotatable shafts; a first pusherassembly operably connected to the first rotatable shaft for convertingrotational motion from the first rotatable shaft to longitudinalmovement to perform a first function; a second pusher assembly operablyconnected to the second rotatable shaft for converting rotational motionfrom the second rotatable shaft to longitudinal movement to perform asecond function; and a drive member operably connected to the thirdrotatable shaft for transferring rotational motion from the thirdrotatable shaft to perform a third function; and an extension assemblyoperably connected to a distal end of the adapter assembly, theextension assembly including at least one flexible band assemblyoperably connected to one of the first and second pusher assemblies. 2.The assembly of claim 1, wherein the first pusher assembly includes afirst planetary gear assembly and the second pusher assembly includes asecond planetary gear assembly.
 3. The assembly of claim 2, wherein eachof the first and second planetary gear assemblies includes a firstplanetary gear system and a second planetary gear system.
 4. Theassembly of claim 3, wherein each of the first and second planetary gearsystems are configured to reduce a speed of rotation of the first andsecond rotatable shafts.
 5. The assembly of claim 3, wherein the firstpusher assembly includes a first drive screw operably connected to thefirst planetary gear assembly and the second pusher assembly includes asecond drive screw operably connected to the second planetary gearassembly.
 6. The assembly of claim 5, wherein the first pusher assemblyincludes a first pusher member operably received about the first drivescrew and the second pusher assembly includes a second pusher memberoperably received about the second screw member.
 7. The assembly ofclaim 6, wherein rotation of the first drive screw causes longitudinalmovement of the first pusher member and rotation of the second drivescrew causes longitudinal movement of the second pusher member.
 8. Theassembly of claim 1, wherein the adapter assembly further includes abase and a support structure rotatable relative to the base along alongitudinal axis, the connector assembly and the drive transferassembly being disposed with in the base and the first and second pusherassemblies being disposed within the support structure.
 9. The assemblyof claim 1, wherein the connection assembly is configured for operableconnection to the electrosurgical instrument.
 10. The assembly of claim1, wherein the extension assembly includes a second flexible bandassembly operably connected to the other of the first and second pusherassemblies.
 11. The assembly of claim 1, wherein the extension assemblyincludes a trocar assembly operably connected to the drive member. 12.The assembly of claim 11, wherein the trocar assembly convertsrotational motion from the drive member into linear motion.
 13. Theassembly of claim 11, wherein a link assembly operably connects thetrocar assembly to the drive member.
 14. The assembly of claim 13,wherein the link assembly includes a first drive shaft pivotallyconnected to a second drive shaft and a coupling member pivotallyconnected to the second drive shaft.
 15. The assembly of claim 1,wherein the drive transfer assembly and the first and second pusherassemblies are operably received within a single outer tube.
 16. Anextension assembly for operably connecting an end effector to anelectrosurgical instrument, the extension assembly comprising: an outersleeve; a frame assembly received within the outer sleeve; an innerflexible band assembly slidably disposed within the frame assembly forperforming a first function; an outer flexible band assembly slidablydisposed within the frame assembly and relative to the inner flexibleband assembly for performing a second function; and a trocar assemblydisposed within the frame assembly and including a trocar member forperforming a third function.
 17. The extension assembly of claim 16,wherein the inner flexible band assembly includes a proximal endconfigured for connection to a first linear drive member and the outerflexible band assembly includes a proximal end configured for connectionto a second linear drive member.
 18. The extension assembly of claim 16,wherein a proximal end of the trocar assembly is configured forconnection to a rotatable drive shaft.
 19. The extension assembly ofclaim 18, wherein rotation of the rotatable drive shaft causes linearadvancement of the trocar member.
 20. The extension assembly of claim16, further including a connection assembly configured for operableconnection with an end effector.
 21. The extension assembly of claim 16,wherein a distal end of the inner flexible band assembly includes aflange configured for operable connection with an end effector.
 22. Theextension assembly of claim 16, wherein a distal end of the outerflexible band assembly includes a flange configured for operableconnection with an end effector.
 23. The extension assembly of claim 16,wherein the trocar member is configured for operable connection with ananvil assembly.
 24. The extension assembly of claim 16, furtherincluding a link assembly for operable connection with the trocarassembly, the link assembly including a first shaft pivotally secured toa second shaft and a coupling member.
 25. A connection assembly forsecuring a first tubular member to a second tubular member, theconnection assembly comprising: a tubular base including a flange and anannular rim; and a tubular extension including first and second sectionsand an outer sleeve slidably disposed about the first and secondsections, wherein the first and second sections define an annular groovepositioned to receive the annular rim of the tubular base when the firstand second sections are received about the flange.
 26. The connectionassembly of claim 25, wherein the tubular base is configured to besecured to the first tubular member and the tubular extension isconfigured to be secured to the second tubular member.
 27. Theconnection assembly of claim 25, wherein the tubular base is formed onan end of the first tubular member and the tubular extension is formedon an end of the second tubular member.